Provider Demographics
NPI:1194763748
Name:WHITEVILLE RESCUE UNIT INC
Entity type:Organization
Organization Name:WHITEVILLE RESCUE UNIT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:S
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-642-2742
Mailing Address - Street 1:PO BOX 421
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-0421
Mailing Address - Country:US
Mailing Address - Phone:910-642-2742
Mailing Address - Fax:910-642-6887
Practice Address - Street 1:611 N MADISON ST
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-3309
Practice Address - Country:US
Practice Address - Phone:910-642-2742
Practice Address - Fax:910-642-6887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3406710Medicaid
NC2782726Medicare ID - Type Unspecified